ZZ-CRANE VA CLINIC (4453)    INSTITUTION (4)

Name Value
NAME ZZ-CRANE VA CLINIC
STATE INDIANA
STREET ADDR. 1 300 HIGHWAY 361, SUITE 2516
CITY CRANE
ZIP 47522-4000
OFFICIAL VA NAME CRANE VA CLINIC
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CRANE VA CLINIC
EFFECTIVE DATE/TIME
  • 2019-08-05 00:00:00
    STATUS:   ACTIVE
    NPI:   1063042869
  • 2023-06-21 00:00:00
    STATUS:   INACTIVE
    NPI:   1063042869
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 583QF